Facial nerve palsy presenting as rare neurological complication of Kawasaki disease

Abstract Rationale: Facial nerve palsy (FNP) is one of the rare neurologic symptoms of Kawasaki disease (KD), associated with a higher incidence of coronary arteries lesions and may be an indicator of more severe disease. Patient concerns: A 3-month-old male infant with persistent fever, irritability, and facial asymmetry. Diagnoses: KD with FNP. Interventions: The infant received intravenous immunoglobulin (IVIG) (2 g/kg/16 hours) and aspirin (50 mg/kg/day) were started on the 8th day of illness. Outcomes: Fever and FNP resolved within 48 hours after IVIG treatment. The inflammatory markers all improved to normal or near-normal levels before discharge; all infectious studies returned negative. His left facial weakness was unappreciable at day of discharge. Lessons: FNP associated with KD is an uncommon finding but may indicate an increased risk of coronary artery involvement. KD should always be kept in mind in the differential diagnosis of a child who presents with prolonged unexplained fever, even with incomplete diagnostic features, as well as the need to be aware of unusual manifestations, such as FNP.

• Publication year

  2019

• Venue

  Medicine

• Publication date

  2019-08-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1097/MD.0000000000016888PMID 31441865PMCID 6716688
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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